临床医生离职意愿及其影响因素分析  

Analysis of influential factors of doctor's turnover intention

作　　者：林少炜[1] 柴文丽[1] 林秀蓉[2] 李冬莲 洪瑞燕[4] 吴思英[1] 

机构地区：[1]福建医科大学公共卫生学院流行病与卫生统计学系,福建福州350004 [2]福建医科大学附属协和医院急诊科,福建福州350004 [3]福建龙岩市妇幼保健院医务科,福建龙岩364030 [4]福建医科大学附属协和医院妇产科,福建福州350004

出　　处：《现代预防医学》2014年第3期470-473,共4页Modern Preventive Medicine

基　　金：福建省高校杰出青年科研人才计划(JA10124);国家自然基金(81001238)

摘　　要：目的探讨临床医生的离职意愿现状并分析其主要影响因素。方法采用多阶段分层整群抽样方法,从福建省抽取604名临床医生进行面对面问卷调查。结果有离职意愿的比例为19.2%,其95%置信区间为(16.14%,22.58%);离职意愿在不同年龄段、工作满意情况、自我职业价值认可、生活满意度、工作场所暴力等方面具有统计学差异(P<0.05);工作场所暴力是临床医生产生离职意愿的主要危险因素(P<0.05);而工作满意度和生活满意度是离职意向的主要保护因素(P<0.05)。结论年龄、工作满意情况、职业价值认可、生活满意情况及工作场所暴力是临床医生离职意愿的影响因素,可为医院管理者稳定医疗队伍进行有效干预提供理论依据。Objective The aim of the research was to investigate the turnover intention and its related factors in the doctors. Methods A total of 604 doctors were selected by using muhi-stage stratified cluster sampling method from Fujian province. Results The ratio of doctors with turnover intention was 19.2%, with 95% confidence interval （16.14%, 22.58%）. There were significant differ- ences in the turnover intention with different ages, job satisfactions, job values, life satisfactions and workplace violence （P〈0.05）; workplace violence was the main risk factor on turnover intention （P〈0.05）; however, job satisfaction and life satisfaction were pro- tective factors for doctors （P〈0.05）. Conclusion Age, job satisfaction, job value, life satisfaction and workplace violence are influen- tial factors, which provide references for the hospital managers to stabilize the team of doctors.

关 键 词：医院管理 离职意愿 临床医生 

分 类 号：R195[医药卫生—卫生统计学]